Please provide me with the following detail per month for the period of January 2012 to the most recent month this year for which you have the data, preferably in Excel-compatile format, and in electronic format in any case:

(1) The list of NHS s136 suites, as defined in the the Mental Health Act (MHA), per borough covered by the trust.

(2) The list of NHS A&E departments, per borough covered by the trust.

(3) The breakdown, per s136 suite, of the number of days the s136 has been opened that month.

(4) The breakdown, per s136 suite and A& department, of the number of individuals detained under s136 of the MHA brought to each of the trust's s136 suites and A&E departments.

(5) The number of individuals detained under s136 of the MHA and admitted to hospital in the boroughs covered by the trust, following an MHA assessment.

(6) The breakdown, per s136 suite and A& department, by type of vehicle the individuals detained under s136 of the MHA were conveyed to that place of safety (i.e., ambulance, police vehicle, or other)

(7) The breakdown, per s136 suite and A& department, by gender of individuals detained under s136 of the MHA and conveyed to that place of safety.

(8) The breakdown, per s136 suite and A& department, by age range of individuals detained under s136 of the MHA and conveyed to that place of safety.

(9) The breakdown, per s136 suite and A& department, by ethnicity of individuals detained under s136 of the MHA and conveyed to that place of safety.

(10) The breakdown, per s136 suite and A& department, of whether individuals detained under s136 of the MHA and conveyed to that place of safety were considered to be suffering from the effects of drink or drugs

(11) The breakdown, per s136 suite and A& department, of whether individuals detained under s136 of the MHA and conveyed to that place of safety were restrained

Yours faithfully,

David Mery

Heness Nigel (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST),
Central and North West London NHS Foundation Trust
22 August 2013

Central and North West London NHS Foundation Trust (CNWL) is one of the
largest non-acute trusts in the UK, caring for people with a wide range of
physical and mental health needs. We have approximately 7,000 staff who
provide healthcare to a third of London's population and across wider
geographical areas, including Milton Keynes, Hampshire, Kent and Surrey.

Central and North West London NHS Foundation Trust (CNWL) is one of the
largest non-acute trusts in the UK, caring for people with a wide range of
physical and mental health needs. We have approximately 7,000 staff who
provide healthcare to a third of London's population and across wider
geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.

As a Foundation Trust we involve service users, carers, the public, staff
and partner organisations in the way that we are run and our future
development. If you are interested in becoming a member of our Foundation
Trust please visit: [3]www.cnwl.nhs.uk/get-involved

Many thanks for your response, however, unfortunately some aspects of it are unclear and some cannot be read:

(a) In responses (4) and (7) you have not specified the period for which these numbers have been provided. Also, note that my original request asked for : 'the following detail per month for the period of January 2012 to the most recent month this year for which you have the data' so I would very much appreciate monthly breakdowns.

(b) In response (8) you mention an 'attached spreadsheet below' which you seem to have attempted to attach in response (9), however the only thing there's is an icon. Please provide this spreadsheet as a separate attachment.

(c) In response (11), you wrote: 'Whilst I cannot provide exact numbers it will average at more than one a month.' Do you mean that the average while more than one a month is also much lower than two a month (that would be the most logical interpretation considering your previous explanation that this is rare)?

Yours sincerely,

David Mery

Heness Nigel (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST),
Central and North West London NHS Foundation Trust
20 September 2013

Central and North West London NHS Foundation Trust (CNWL) is one of the
largest non-acute trusts in the UK, caring for people with a wide range of
physical and mental health needs. We have approximately 7,000 staff who
provide healthcare to a third of London's population and across wider
geographical areas, including Milton Keynes, Hampshire, Kent and Surrey.

As a Foundation Trust we involve service users, carers, the public, staff
and partner organisations in the way that we are run and our future
development. If you are interested in becoming a member of our Foundation
Trust please visit: [4]www.cnwl.nhs.uk/get-involved

Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.

As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit:www.cnwl.nhs.uk/get-involved
________________________________________
From: David Mery [[FOI #174102 email]]
Sent: 20 September 2013 13:46
To: Heness Nigel (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST)
Subject: Re: Freedom of Information Response 13 FOI 140

Dear Mr Heness,

Many thanks for your response, however, unfortunately some aspects of it are unclear and some cannot be read:

(a) In responses (4) and (7) you have not specified the period for which these numbers have been provided. Also, note that my original request asked for : 'the following detail per month for the period of January 2012 to the most recent month this year for which you have the data' so I would very much appreciate monthly breakdowns. Jan 2012 to End of August 2013. To provide monthly breakdowns would cause the request to go over the Fees Limit.

(b) In response (8) you mention an 'attached spreadsheet below' which you seem to have attempted to attach in response (9), however the only thing there's is an icon. Please provide this spreadsheet as a separate attachment. Done.

(c) In response (11), you wrote: 'Whilst I cannot provide exact numbers it will average at more than one a month.' Do you mean that the average while more than one a month is also much lower than two a month (that would be the most logical interpretation considering your previous explanation that this is rare)? This is using information from the two suites that had any idea, and they had a total of five in six months.

Thank you for your very prompt follow-up email and the clarifications provided.

In regard to (a) where you explain 'To provide monthly breakdowns would cause the request to go over the Fees Limit.' In accordance with the FoIA and ICO's guidance on Using the Fees Regulations, can you please provide a reasonable estimate of the fees required to provide a monthly breakdown, and the basis for this estimate.

Yours sincerely,

David Mery

Heness Nigel (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST),
Central and North West London NHS Foundation Trust
21 September 2013

Dear Mr Mery,

I responded very quickly because I had to be somewhere rather urgently and should have left the office.

On reflection I should have looked at the request again, I will now look at the original request again and see what I can provide.

I should be able to provide a monthly breakdown Trust-wide for Q4 if that is any help, however, I still believe that providing any additional breakdowns would put your whole request over the "Fees Limit".

At present I believe we have taken in excess of 15 hours, the fees limit for an organisation such as ourselves is £450.00 (18 hours @ £25.00 per hour).

If you are not happy with our action, then you need to go through the correct review process as outlined in my initial response letter.

Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.

As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit:www.cnwl.nhs.uk/get-involved
________________________________________
From: David Mery [[FOI #174102 email]]
Sent: 20 September 2013 14:49
To: Heness Nigel (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST)
Subject: RE: Freedom of Information Response 13 FOI 140

Dear Mr Heness,

Thank you for your very prompt follow-up email and the clarifications provided.

In regard to (a) where you explain 'To provide monthly breakdowns would cause the request to go over the Fees Limit.' In accordance with the FoIA and ICO's guidance on Using the Fees Regulations, can you please provide a reasonable estimate of the fees required to provide a monthly breakdown, and the basis for this estimate.

Your offer 'to provide a monthly breakdown Trust-wide for Q4' is unclear. If you're suggesting to provide a monthly breakdown Trust-wide for question (4) (as opposed to monthly breakdowns for all the questions but only for the fourth quarter 2012), then yes this would be very helpful as it would show whether there's any seasonal impact on s136 detentions.

Yours sincerely,

David Mery

Heness Nigel (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST),
Central and North West London NHS Foundation Trust
24 September 2013

Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.

As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit:www.cnwl.nhs.uk/get-involved
________________________________________
From: David Mery [[FOI #174102 email]]
Sent: 24 September 2013 14:53
To: Heness Nigel (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST)
Subject: RE: Freedom of Information Response 13 FOI 140

Dear Mr Heness,

Your offer 'to provide a monthly breakdown Trust-wide for Q4' is unclear. If you're suggesting to provide a monthly breakdown Trust-wide for question (4) (as opposed to monthly breakdowns for all the questions but only for the fourth quarter 2012), then yes this would be very helpful as it would show whether there's any seasonal impact on s136 detentions.

Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.

As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit:www.cnwl.nhs.uk/get-involved
________________________________________

Many thanks for this additional information and for the time you spent on this request. This is much appreciated. It would be useful if the Central and North West London NHS Foundation Trust (and all other trusts) were to proactively regularly publish some data related to MHA s136 patients as this would avoid the need for such time consuming FoI requests.